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Court Rejects MetLife’s Long-Term Disability Denial: A Win for Claimants With Cognitively Demanding Occupations In Long-Haul Covid Disability Case
Court Rejects MetLife’s Long-Term Disability Denial: A Win for Claimants With Cognitively Demanding Occupations In Long-Haul Covid Disability Case Recent federal court decisions have begun to clarify how long-haul COVID-19…
Federal Court Holds Health Insurance Plans Are Subject to California’s § 10110.6 Discretionary-Clause Ban
California Insurance Code § 10110.6 has long been a battleground in ERISA litigation. The statute voids provisions that grant an insurer or administrator discretionary authority to interpret plan terms or…
Central District of California Federal Court Awards Long-Term Retroactive Disability Benefits in Dharmasena v. MetLife
The U.S. District Court for the Central District of California recently granted long-term disability (“LTD”) benefits to Plaintiff Hettihewage Dharmasena following an ERISA appeal in Dharmasena v. Metropolitan Life Insurance…
How Are Claimants Impacted When Claims Fiduciaries Miss ERISA Deadlines?
If your employer sponsors a group insurance plan for its employees, insurers and plan administrators owe you fiduciary duties under the Employee Retirement Income Security Act of 1974 (ERISA). They…
New Jersey Federal Court Rules in Favor of Disabled Executive in ERISA Disability Benefits Case Finding that First Reliance’s Denial Decision was Arbitrary and Capricious
Introduction When disability insurers terminate benefits without sufficient evidence, federal courts can and do step in to protect claimants. A recent decision out of the U.S. District Court for the…
Failure to Accurately Notify Claimant of Conversion Option to Individual Plan Can Create Fiduciary Liability: Lessons from Erban v. Tufts Medical Center Physicians Organization, Inc.
Long-term disability (“LTD”) and life insurance benefit disputes under the Employee Retirement Income Security Act of 1974 (“ERISA”) frequently hinge on complex medical questions and policy interpretations. However, another layer…
Navigating the Labyrinth: A Comprehensive Guide to ERISA Accidental Death & Dismemberment Claims and Decision Timelines
The Employee Retirement Income Security Act of 1974 (ERISA) establishes a federal framework for employer-sponsored benefit plans, including Accidental Death & Dismemberment (AD&D) insurance. Navigating an AD&D claim under ERISA…
MetLife Reverses Accidental Death Insurance Denial After McKennon Law’s Appeal: $680,000 Claim Paid in Full
At McKennon Law, we frequently see insurers improperly deny claims under accidental death and dismemberment (AD&D) policies, especially when toxicology results or policy exclusions are involved. Fortunately, ERISA provides policyholders…
When Insurers Confirm Coverage That Doesn’t Exist: A Fiduciary Duty Trap Under ERISA
When Insurers Confirm Coverage That Doesn’t Exist: A Fiduciary Duty Trap Under ERISA When dealing with ERISA-regulated benefit plans, both employers and insurers must tread carefully when communicating with plan…
When Do Disability Insurers Settle for a Lump-Sum Representing Future Benefits?
Understanding Settlements in Long-Term Disability Insurance Disability insurance offers essential protection, providing financial support to people who are unable to work due to illness or injury. For many, disability insurance…
